Frequently Asked Questions about General Medicare Part D (PDPs and MAPDs)

Aug, 07 2024 — Medicare Part D prescription drug plans provide insurance coverage for your out-patient prescription drugs - and works just like any other type of insurance: (1)  You may pay a monthly premium . . .

Jul, 04 2024 — A PDP is a stand-alone Medicare Part D prescription drug plan (only offering drug coverage) and a MADP is a Medicare Advantage plan that includes prescription drug coverage along with Medicare Part A and Part B coverage - and maybe even additional or supplemental benefits.

Aug, 03 2024 — Medicare Part D plans are categorized as defined standard (DS), actuarially equivalent (AE) standard, or basic alternative (BA) - and benefits are actuarially equivalent to the CMS defined standard Part D benefit. Enhanced alternative (EA) plans exceed defined standard coverage.

Aug, 07 2024 — The Medicare Part D prescription drug program provides prescription drug coverage through either stand-alone Medicare prescription drug plan (PDPs) or Medicare Advantage plans that include prescriptio . . .

Dec, 16 2023 — A Medicare Part D PDP is a Medicare prescription drug plan that provides insurance coverage for a specific list of out-patient prescription drugs at participating pharmacies. Your prescription drug costs should be lower with a PDP.

Mar, 14 2022 — The Medicare Modernization Act mandated that the Centers for Medicare and Medicaid Services (CMS) establish geographic regions for the implementation of the Medicare Part D prescription drug plans (PD . . .

Apr, 20 2024 — The complete list of Medicare abbreviations used by the Centers for Medicare and Medicaid Services (CMS) describing Medicare Part D prescription drug plans or Medicare Advantage plans is rather long ( . . .

Jun, 04 2024 — There are five U.S. territories that are covered by the Medicare Part D program and offer stand-alone Medicare Part D prescription drug plans: American Samoa Guam the Northern Ma . . .

Jul, 11 2023 — The Medicare Improvements for Patients and Providers Act of 2008 or MIPPA was passed in July 2008 and amends a number of sections of the existing Medicare law or, in the words of Congress, the MIPPA w . . .

Aug, 30 2022 — A Demonstration/Pilot Program, according to the Centers for Medicare and Medicaid (CMS) is defined as: Special projects that test improvements in Medicare coverage, payment, and quality of care. So . . .

Aug, 30 2022 — PACE (Programs of All-inclusive Care for the Elderly), according to the Centers for Medicare and Medicaid (CMS) is defined as: PACE combines medical, social, and long-term care services for frail p . . .

Apr, 20 2024 — Donut Hole Coverage or Gap Coverage, according to the Centers for Medicare and Medicaid (CMS) is defined as: After you have spent a certain amount of money for covered drugs, you have to pay all . . .

Nov, 11 2018 — Many Indian health pharmacies offer Medicare drug plans. You and your Indian health provider will benefit if you select one of these plans. You will continue to get prescriptions just as you do now. H . . .

Jun, 20 2016 — No.  Joining a Medicare drug plan is your choice.  However, if you don’t join a plan from October 15th through December 7th of each year, and you don’t currently have a drug . . .

Aug, 30 2022 — The monthly premium, according to the Centers for Medicare and Medicaid (CMS) is defined as: The periodic payment to Medicare, an insurance company, or a health care plan for health care or prescript . . .

Jun, 20 2016 — Yes. Medicare drug plans must cover drugs and/or categories of drugs that are commonly used by seniors and people with disabilities.(Source: U.S. Department of Health & Human Services) . . .

Jun, 20 2016 — To have Medicare help pay for your drugs, you must join a Medicare Part D plan or a Medicare Advantage plan that provides Medicare prescription drug coverage (or MAPD). You can choose and join the pla . . .

Apr, 20 2024 — The Medicare Part D annual Initial Deductible is the first phase of your Medicare Part D coverage (see chart below). In most cases, you must pay your Part D plan's Initial Deductible before you re . . .

Apr, 20 2024 — The Formulary, according to the Centers for Medicare and Medicaid (CMS) is defined as: A list of drugs covered by a Medicare prescription drug plan (stand-alone Medicare Part D prescription drug pl . . .

Aug, 31 2022 — An Original Medicare Plan, according to the Centers for Medicare and Medicaid (CMS) is defined as: A fee-for-service health plan that lets you go to any doctor, hospital, or other health care suppl . . .

Aug, 07 2024 — The Medicare Part D prescription drug program provides prescription drug coverage through either stand-alone Medicare prescription drug plan (PDPs) or Medicare Advantage plans that include prescriptio . . .

Aug, 07 2024 — Medicare Part D prescription drug plans provide insurance coverage for your out-patient prescription drugs - and works just like any other type of insurance: (1)  You may pay a monthly premium . . .

Aug, 03 2024 — Medicare Part D plans are categorized as defined standard (DS), actuarially equivalent (AE) standard, or basic alternative (BA) - and benefits are actuarially equivalent to the CMS defined standard Part D benefit. Enhanced alternative (EA) plans exceed defined standard coverage.

Jul, 04 2024 — A PDP is a stand-alone Medicare Part D prescription drug plan (only offering drug coverage) and a MADP is a Medicare Advantage plan that includes prescription drug coverage along with Medicare Part A and Part B coverage - and maybe even additional or supplemental benefits.

Jun, 04 2024 — There are five U.S. territories that are covered by the Medicare Part D program and offer stand-alone Medicare Part D prescription drug plans: American Samoa Guam the Northern Ma . . .

Apr, 20 2024 — The Formulary, according to the Centers for Medicare and Medicaid (CMS) is defined as: A list of drugs covered by a Medicare prescription drug plan (stand-alone Medicare Part D prescription drug pl . . .

Apr, 20 2024 — Donut Hole Coverage or Gap Coverage, according to the Centers for Medicare and Medicaid (CMS) is defined as: After you have spent a certain amount of money for covered drugs, you have to pay all . . .

Apr, 20 2024 — A Generic Drug, according to the Centers for Medicare and Medicaid (CMS) is defined as: A prescription drug that has the same active-ingredient formula as a brand-name drug. Generic drugs usually c . . .

Apr, 20 2024 — The Medicare Part D annual Initial Deductible is the first phase of your Medicare Part D coverage (see chart below). In most cases, you must pay your Part D plan's Initial Deductible before you re . . .

Apr, 20 2024 — The complete list of Medicare abbreviations used by the Centers for Medicare and Medicaid Services (CMS) describing Medicare Part D prescription drug plans or Medicare Advantage plans is rather long ( . . .

Dec, 16 2023 — A Medicare Part D PDP is a Medicare prescription drug plan that provides insurance coverage for a specific list of out-patient prescription drugs at participating pharmacies. Your prescription drug costs should be lower with a PDP.

Jul, 11 2023 — The Medicare Improvements for Patients and Providers Act of 2008 or MIPPA was passed in July 2008 and amends a number of sections of the existing Medicare law or, in the words of Congress, the MIPPA w . . .

Aug, 31 2022 — An Original Medicare Plan, according to the Centers for Medicare and Medicaid (CMS) is defined as: A fee-for-service health plan that lets you go to any doctor, hospital, or other health care suppl . . .

Aug, 30 2022 — A Demonstration/Pilot Program, according to the Centers for Medicare and Medicaid (CMS) is defined as: Special projects that test improvements in Medicare coverage, payment, and quality of care. So . . .

Aug, 30 2022 — PACE (Programs of All-inclusive Care for the Elderly), according to the Centers for Medicare and Medicaid (CMS) is defined as: PACE combines medical, social, and long-term care services for frail p . . .

Aug, 30 2022 — The monthly premium, according to the Centers for Medicare and Medicaid (CMS) is defined as: The periodic payment to Medicare, an insurance company, or a health care plan for health care or prescript . . .

Mar, 14 2022 — The Medicare Modernization Act mandated that the Centers for Medicare and Medicaid Services (CMS) establish geographic regions for the implementation of the Medicare Part D prescription drug plans (PD . . .

Nov, 11 2018 — Many Indian health pharmacies offer Medicare drug plans. You and your Indian health provider will benefit if you select one of these plans. You will continue to get prescriptions just as you do now. H . . .

Jun, 20 2016 — To have Medicare help pay for your drugs, you must join a Medicare Part D plan or a Medicare Advantage plan that provides Medicare prescription drug coverage (or MAPD). You can choose and join the pla . . .

Jun, 20 2016 — Yes. Medicare drug plans must cover drugs and/or categories of drugs that are commonly used by seniors and people with disabilities.(Source: U.S. Department of Health & Human Services) . . .